KENNETH D FASBENDER

MINOCQUA, WI
NPI1508137712
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  13112-132)
Enumeration Date2012-01-19
Last Update Date2012-01-19
Business Address
-- KENNETH D FASBENDER CSAC, SCIT
9433 COUNTY RD J
MINOCQUA, WI 54548-9318
Phone number: 715-356-5377
Mailing Address
-- KENNETH D FASBENDER CSAC, SCIT
9433 COUNTY RD J
MINOCQUA, WI 54548-9318
Phone number: 715-356-5377
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